
<div id="blokdata">
    <div id="titlemerah"><p align="left">Konfirmasi Deposit</p></div>
    <?php echo validation_errors(); ?>
    <?php echo form_open('deposits/create') ?>

    <table>
        <tr>
            <td style="width:200px;">Cara Pembayaran</td>
            <td>
                <?php
                $cara = array('SMS banking' => 'SMS banking', 'ATM' => 'ATM', 'Internet banking' => 'Internet banking')
                ?>
                <?php echo form_dropdown('cara_pembayaran', $cara) ?>
            </td>
        </tr>
        <tr>
            <td>Tanggal Transfer</td>
            <td><input id="tgl_tansfer" name="tgl_transfer" type="text"></td>
        </tr>
<!--        <tr>
            <td>Jam Transfer</td>
            <td>
                
                <select name="jam" class="kcl">
                    <option selected="selected">12</option>
        <?php // for ($jam = 1; $jam <= 24; $jam++): ?>
                        <option value="<?php // echo $jam    ?>"><?php echo $jam ?></option>
        <?php // endfor ?>
                </select>
               :
                <select name="menit" class="kcl">
        <?php // for ($menit = 1; $menit <= 60; $menit++): ?>
                        <option value="<?php // echo $menit    ?>"><?php echo $menit ?></option>
        <?php // endfor ?>
                </select>
                
                
            </td>
        </tr>-->
        <tr>
            <td> Nama Bank Pengirim<font color="#bf0d31">*</font></td>
            <td><?php echo form_input('costumer_bank', '') ?></td>
        </tr>
        <tr>
            <td> No Rekening Pengirim<font color="#bf0d31">*</font></td>
            <td><?php echo form_input('no_rekening', '') ?></td>
        </tr>
        <tr>
            <td>Nama Pemilik Rekening<font color="#bf0d31">*</font> </td>
            <td><?php echo form_input('costumer_an', '') ?></td>
        </tr>
        <tr>
            <td>Rekening Tujuan</td>
            <td>
                <select name="bank_name">
                    <?php foreach ($banks->result() as $bank): ?>
                        <option value="<?php echo $bank->bank_name ?>"><?php echo $bank->bank_name ?> : <?php echo $bank->no_rekening ?> <?php echo $bank->an ?></option>
                    <?php endforeach ?>
                </select>
            </td>
        </tr>
        <tr>
            <td></td>
            <td>Contoh format penulisan  jumlah : 10000000 (tanpa tanda baca)</td>
        </tr>
        <tr>
            <td>Jumlah Transfer<font color="#bf0d31">*</font></td>
            <td><?php echo form_input('deposit', '') ?></td>

        </tr>
<!--        <tr>
            <td></td>
            <td>(lihat di bukti transfer anda, bisa dari teller, nomor urut atau nomor transaksi)</td>
        </tr>-->
<!--        <tr>
            <td>Kode Validasi<font color="#bf0d31">*</font></td>
            <td><?php // echo form_input('validation_code', '') ?></td>
        </tr>-->
        <tr>
            <td>Berita Transfer</td>
            <td><?php echo form_textarea('berita_tansfer', '', "class='span4'") ?></td>
        </tr>
        <tr>
            <td><font color="#bf0d31">*)</font>form harus diisi</td>
            <td></td>
        </tr>
        <tr>

        <tr>
            <td></td>
            <td><?php echo form_submit('submit', 'Kirim', "class='btn'") ?></td>
        </tr>
    </table>

    <?php echo form_close() ?>

    <br />
</div>